Sysmex UF1000i尿沉渣分析仪对酵母样细胞异常提示的应用分析

Application analysis of yeast-like cells abnormal alarm by Sysmex UF1000i urine sediment analyzer

目的：分析尿液酵母样细胞异常提示的实用性。方法：收集住院和门诊病人做尿常规检查提示酵母样细胞异常并同时留尿做真菌培养的病例213例，进行尿沉渣镜检并跟踪培养结果；另一方面，对尿真菌培养阳性同时有做尿常规检查的样本192例进行分析。结果：仪器对酵母样细胞提示异常的镜检复查结果：真菌占28.2%，酵母样红细胞占8.9%，畸形红细胞占15.0%，结晶占12.2%，细菌占30.0%，精子占1.8%，其它占3.7%；酵母样细胞异常提示的病人标本真菌培养阳性的标本有65例（占30.5%）。真菌培养阳性的192例病人的尿液中仪器提示酵母样细胞异常的有115例（占59.9%）。结论：通过对酵母样细胞异常提示的标本进行复检分析，把准确的信息反馈给医生以协助诊断。此外，对仪器没提示的标本也不容忽视。

Objective： To analyze the practicability of abnormal yeast-like cells in urine.Methods：Collecting 213 cases of in-patients and out-patients’urine that showed abnormal yeast-like cells in urine routine test and taking microscopic examination with the samples.Sending fresh urine of the patients simultaneously to do fungi culture and tracking the culture results.On the other hand ,analyzing the results of 192 patients whose urinary fungus culture were positive while doing urine routine test.Results： Rechecked results with microscope after the instrument prompted abnormal yeast-like cells： fungi 28.2%, yeast-like red blood cells 8.9%, abnormal red blood cells 15.0%, crystal12.2%,bacteria 30.0%,sperm 1.8%,others 3.7%.There were 65 cases （30.5%） that yeast-like cells were abnormal while fungi culture were positive. Amongst 192 patients whose urine fungi culture were positive, 115 patients’urine （59.9%） showed abnormal yeast-like cells on instrument.Conclusions：Through retesting the abnormal yeast-like cells urine , feedback accurate information to doctor to assist diagnosis. In addition ,it also can not be ignored to no hint specimens on instrument.